Larson Daniel, Rohrberg Justin, Lorenz Daniel, Clark Nicole
Physical Therapy OrthoKansas/Lawrence Memorial Hospital.
Stefani Doctor of Physical Therapy Program University of Saint Mary.
Int J Sports Phys Ther. 2025 Jun 2;20(6):770-778. doi: 10.26603/001c.138310. eCollection 2025.
Psychological readiness after anterior cruciate ligament reconstruction (ACLR), as measured by the Anterior Cruciate Ligament-Return to Sport after Injury (ACL-RSI) scale, has become a critical factor in determining an athlete's ability to return to sport. While the ACL-RSI is widely used, the influence of the timing of its administration in relation to physical performance testing has not been studied.
PURPOSE/HYPOTHESIS: The primary aim of this study was to investigate the differences in ACL-RSI scores and subscale scores assessed up to one week before versus immediately after exposure to objective physical performance testing, but prior to reviewing the results with the athlete.
Prospective case series.
Fifty athletes recovering from ACLR participated in this study. The ACL-RSI questionnaire was administered within one week prior to and immediately after completing a return-to-sport physical performance testing battery. The testing included elements assessing maximum volitional force production, explosiveness, and hopping and landing ability. Changes in overall ACL-RSI scores and its subscales (emotions, confidence in performance, and risk appraisal) were analyzed.
No significant differences were found in ACL-RSI scores pre- to post return to sport testing (-2.27, p=0.125). However, there was a significant decrease in the emotions subscale (-5.08, p=0.006), suggesting that physical testing may negatively impact emotional readiness. The confidence in performance and risk appraisal subscales did not show significant changes. Despite no statistical differences in ACL-RSI scores pre- to post return to sport testing, 20% of participants exhibited a change in ACL-RSI scores that exceeded the minimal clinically important difference (MCID), highlighting individual variability in psychological responses to testing.
The findings suggest that administering the ACL-RSI after physical performance testing may provide a more accurate assessment of some athletes' psychological readiness to return to sport. The significant reduction in the emotions subscale underscores the need for further research into the emotional impact of physical testing.
3b.
前交叉韧带重建（ACLR）术后的心理准备情况，通过前交叉韧带损伤后恢复运动（ACL-RSI）量表进行测量，已成为决定运动员恢复运动能力的关键因素。虽然ACL-RSI被广泛使用，但其施测时间与体能测试时间的关系尚未得到研究。
目的/假设：本研究的主要目的是调查在进行客观体能测试前一周内与测试后立即进行评估（但在向运动员反馈结果之前）的ACL-RSI分数及子量表分数的差异。
前瞻性病例系列研究。
50名从ACLR恢复的运动员参与了本研究。ACL-RSI问卷在完成恢复运动体能测试组套之前一周内和之后立即进行施测。测试包括评估最大自主力量产生、爆发力以及单脚跳和落地能力的项目。分析了ACL-RSI总分及其子量表（情绪、对表现的信心和风险评估）的变化。
恢复运动测试前后的ACL-RSI分数无显著差异（-2.27，p = 0.125）。然而，情绪子量表有显著下降（-5.08，p = 0.006），表明体能测试可能对情绪准备产生负面影响。对表现的信心和风险评估子量表未显示出显著变化。尽管恢复运动测试前后的ACL-RSI分数无统计学差异，但20%的参与者ACL-RSI分数变化超过了最小临床重要差异（MCID），突出了个体对测试心理反应的变异性。
研究结果表明，在体能测试后进行ACL-RSI施测可能会更准确地评估一些运动员恢复运动的心理准备情况。情绪子量表的显著下降凸显了对体能测试情绪影响进行进一步研究的必要性。
3b。
